DR. KELLY O'MALLEY PH.D.
NPI 1912551276
Psychologist - Clinical in Brockton, MA

Q: What is Kelly O'malley's NPI number?

The NPI number for Kelly O'malley is 1912551276. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Q: What is Kelly O'malley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Kelly O'malley enrolled in Medicare?

No. Kelly O'malley has opted out of Medicare through October 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelly O'malley was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2019Opted out of Medicare · through Oct 20, 2027

940 BELMONT ST, BROCKTON, MA 02301(719) 534-3230 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelly O'malley Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY O'MALLEY PH.D. (NPI 1912551276) is an individual clinical provider in Brockton, Massachusetts, licensed in Massachusetts (11093) and active in the NPI registry since July 2019. She has opted out of Medicare through October 20, 2027.

NPPES Registry Identity

NPI1912551276

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KELLY O'MALLEYCredential: PH.D.

Location Address940 BELMONT STBrockton, MA 02301-5596

Mailing Address30 Larkin LnHopedale, MA 01747-1436 · (719) 534-3230

Phone(719) 534-3230

Sole ProprietorYes

Enumeration DateJuly 25, 2019

✔ NPI 1912551276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 11093

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

940 BELMONT ST, Brockton, MA 02301

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kelly O'malley Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 20, 2025 through October 20, 2027.

Opt-Out Effective DateOctober 20, 2025

Opt-Out In Effect ThroughOctober 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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